Contract Details
Ancillary Care Services
Facility name
Absolute Health and Rehab Center
Provider ID
P000004090
NPI
1235383050
Tax ID
271419967
Effective Date
4/1/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
11700 Southwest Freeway Suite 100
Houston, TX 77031
United States
County
Harris
Phone
2815640035 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address